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Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms 50124R Tops Products

Our Price:
168.95
List At:
213.31
Your Save:
44.36
Manufacturer
SKU
50124R
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CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning.
  • Global Product Type - Forms-Insurance
  • Form Size - 8 1/2 x 11
  • Forms Per Page - 1
  • Form Quantity - 1500
  • Principal Heading(s) - 1500 Health Insurance Claim Form
  • Layout - One Form per Sheet
  • Copy Types - Two-Part Carbonless
  • Punching - Dot Matrix Pin Feed Holes
  • Printer Compatibility - Dot Matrix
  • Paper Stock - 20-lb.
  • Paper Color(s) - White
  • Print and Ruling Color(s) - OCR Red
  • Pre-Consumer Recycled Content Percent - 0%
  • Post-Consumer Recycled Content Percent - 0%
  • Total Recycled Content Percent - 0%
  • Footnote 1 - Carbonless Duplicate
  • Special Features - Carbonless Duplicate
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